1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Clinic Center
  6. NPI Profile

GLISAN STREET HOUSE
NPI 1568549855
Clinic/Center - Multi-Specialty in Portland, OR

Active since November 01, 2006
2375 NW GLISAN ST, PORTLAND, OR 97210(503) 243-2236(503) 243-2429 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glisan Street House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLISAN STREET HOUSE (NPI 1568549855) is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since November 2006. The organization lists Enrique Sama, Vp, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1568549855
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCASCADIA BEHAVIORAL HEALTHCARE INC
Location Address2375 NW GLISAN STPortland, OR 97210-3420
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 552-6208
Phone(503) 243-2236
Fax(503) 243-2429
Organization SubpartYes
Authorized OfficialEnrique SamaVp, Human Resources · (503) 963-7791
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 12, 2008
✔ NPI 1568549855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2375 NW GLISAN ST, Portland, OR 97210
Open in Google Maps ↗

Other Names 1

Other NameGlisan Street House

Other Identifiers 3

Medicaid223347OR
Medicaid226398OR
Medicare PIN0000WCGZLOR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA MARIE DEITERING
Case Manager/Care Coordinator
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
KRISTIN RANSOM
Technician (Personal Care Attendant)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
IN SU JEOUNG
Case Manager/Care Coordinator
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 243-2236
BREANNA WALKER-SCHADLER
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
AMBER RENEE VAN BUSKIRK
Technician (Personal Care Attendant)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
TARKPOR SONKARLAT TAPPEH
Case Manager/Care Coordinator
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
AIDAN STICKLES
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 963-7641
STEPHANIE BALLMAN
Counselor (Mental Health)
2375 NW GLISAN ST
PORTLAND, OR 97210
Multnomah County (503) 243-2236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cascadia Behavioral Healthcare Inc's NPI number?

The NPI number for Cascadia Behavioral Healthcare Inc is 1568549855. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is also known as Glisan Street House.

Where is Cascadia Behavioral Healthcare Inc located?

Cascadia Behavioral Healthcare Inc is located at 2375 NW Glisan St, Portland, OR 97210. The listed phone number is (503) 243-2236.

What is Cascadia Behavioral Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Cascadia Behavioral Healthcare Inc was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.